Death by suicide among aged care recipients in Australia 2008–2017

Abstract

Objective: To characterize the features of aged care users who died by suicide and examine the use of mental health services and psychopharmacotherapy in the year before death. Design: Population-based, retrospective exploratory study Setting and participants: Individuals who died while accessing or waiting for permanent residential aged care (PRAC) or home care packages in Australia between 2008 and 2017. Measurements: Linked datasets describing aged care use, date and cause of death, health care use, medication use, and state-based hospital data collections. Results: Of 532,507 people who died, 354 (0.07%) died by suicide, including 81 receiving a home care package (0.17% of all home care package deaths), 129 in PRAC (0.03% of all deaths in PRAC), and 144 approved for but awaiting care (0.23% of all deaths while awaiting care). Factors associated with death by suicide compared to death by another cause were male sex, having a mental health condition, not having dementia, less frailty, and a hospitalization for self-injury in the year before death. Among those who were awaiting care, being born outside Australia, living alone, and not having a carer were associated with death by suicide. Those who died by suicide more often accessed Government-subsidized mental health services in the year before their death than those who died by another cause. Conclusions: Older men, those with diagnosed mental health conditions, those living alone and without an informal carer, and those hospitalized for self-injury are key targets for suicide prevention efforts.

Novel international research on late-life suicide

“…The Special Issue extends the understanding of suicidal ideation and behavior in older adults as reported in two papers published in a recent theme-based issue, “Depression and Suicide Ideation in Older Adults (35:12)” of the IPG. In the first paper, Cations et al (2023) examined the use of mental health services and psychopharmacotherapy in older adults who died while accessing or waiting for permanent residential aged care or home care packages in Australia between 2008 and 2017. Male sex, diagnosis with a mental health condition, not having dementia, less frailty, and a hospitalization for self-injury in the year before death were associated with death by suicide compared to death by another cause.…”